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Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China

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Listed:
  • Yanrong Zhao

    (Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Junfen Lin

    (Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Xiaopeng Shang

    (Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Qing Yang

    (Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Wei Wang

    (Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Yinwei Qiu

    (Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China)

Abstract

We aimed to quantitatively estimate the amount of pressure that was placed on basic public health care services (BPHS) due to the universal two-child policy issued in 2015 by comparing the workload change in maternal and child health management and the immunization of children. BPHS performance surveillance data from 2014 to 2018 in Zhejiang Province, China were analyzed to calculate the workload of the above three services using the equivalent method of BPHS cost estimation of community health services. From 2014 to 2018, the numbers of births from the Statistical Yearbook in Zhejiang Province were 578,000, 581,000, 624,000, 670,000, and 628,000, respectively, and those from the surveillance data were 416,941, 41,490, 434,163, 546,816, and 45,964, respectively. The number of births reached a peak in 2017, with the yearbook and surveillance data showing increases of 15.92% and 31.15%, respectively, over 2014. The workload of maternal and child health management and children’s immunization also peaked in 2017, increasing by 30.37%, 12.70%, and 4.33% over 2014, respectively. In 2018, the workload of maternal and child health management and children’s immunization dropped to 107.34%, 107.73%, and 98.81% over 2014, respectively. The indicators of maternal and child health management and children’s immunization services remained stable, and the related services did not decline, even in 2017. The maternal health management workload was more affected by the universal two-child policy than child health management and children’s immunization.

Suggested Citation

  • Yanrong Zhao & Junfen Lin & Xiaopeng Shang & Qing Yang & Wei Wang & Yinwei Qiu, 2019. "Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China," IJERPH, MDPI, vol. 16(16), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2880-:d:256908
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    References listed on IDEAS

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    1. Bingwen Zheng, 2016. "Population ageing and the impacts of the universal two-child policy on China’s socio-economy," Economic and Political Studies, Taylor & Francis Journals, vol. 4(4), pages 434-453, October.
    2. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    3. Lianlian Wang & Xianglong Xu & Philip Baker & Chao Tong & Lei Zhang & Hongbo Qi & Yong Zhao, 2016. "Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China: Implications from the Implementation of China’s New National Two-Child Policy," IJERPH, MDPI, vol. 13(7), pages 1-11, July.
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